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Alterations in tooth color can have a variety of causes including superficial and internal staining. Cosmetic treatments of these color alterations range from conservative to more invasive procedures. Conservative treatments include chemical treatments (bleaching) and chemical and micro-chemical abrasive treatments (including enamel microabrasion), while invasive treatments include composite or porcelain veneers and porcelain crowns. Treatment considerations should begin with the most conservative and progress as needed to more invasive alternatives depending on the depth of the staining.